Provider Demographics
NPI:1124409693
Name:TONELLI, LAURIE (PHD)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:TONELLI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6088 S MARSHALL DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3750
Mailing Address - Country:US
Mailing Address - Phone:303-990-4177
Mailing Address - Fax:
Practice Address - Street 1:6004 S KIPLING PKWY STE 212
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5544
Practice Address - Country:US
Practice Address - Phone:303-997-2491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004245103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling